V45.4XXS is the authoritative medical code for Person boarding or alighting a car injured in collision with railway train or railway vehicle, sequela. This classification is used in medical billing and clinical recording to specify the clinical criteria for person boarding or alighting a car injured in collision with railway train or railway vehicle, sequela (ICD-10-CM V45.4XXS), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Official Registry Overview & Definition
Person boarding or alighting a car injured in collision with railway train or railway vehicle, sequela is a billable ICD-10-CM diagnosis code V45.4S. Includes: a four-wheeled motor vehicle designed primarily for carrying passengers; automobile (pulling a trailer or camper). Excludes1 (not coded here): bus V50-V59; minibus V50-V59; minivan V50-V59; motorcoach V70-V79; pick-up truck V50-V59; sport utility vehicle SUV V50-V59. 7th character: The appropriate 7th character is to be added to each code from category V45.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for V45.4XXS in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- a four-wheeled motor vehicle designed primarily for carrying passengers
- automobile (pulling a trailer or camper)
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- bus V50-V59
- minibus V50-V59
- minivan V50-V59
- motorcoach V70-V79
- pick-up truck V50-V59
- sport utility vehicle SUV V50-V59
Frequently Asked Questions (FAQ) & Clinical Guidance
Does V45.4XXS require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category V45.
What can't be coded together with V45.4XXS?
Per official ICD-10-CM Excludes1 instructions, V45.4XXS must not be reported together with: bus (V50-V59); minibus (V50-V59); minivan (V50-V59); motorcoach (V70-V79).
Nearest Codes in This Family
Official ICD-10-CM classifications closest to V45.4XXS in its code family, with their registry titles.
- V45 — Car occupant injured in collision with railway train or railway vehicle
- V45.0 — Car driver injured in collision with railway train or railway vehicle in nontraffic accident
- V45.0XXA — Car driver injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter
- V45.0XXD — Car driver injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter
- V45.0XXS — Car driver injured in collision with railway train or railway vehicle in nontraffic accident, sequela
- V45.1 — Car passenger injured in collision with railway train or railway vehicle in nontraffic accident
- V45.1XXA — Car passenger injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter
- V45.1XXD — Car passenger injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter
- V45.1XXS — Car passenger injured in collision with railway train or railway vehicle in nontraffic accident, sequela
- V45.2 — Person on outside of car injured in collision with railway train or railway vehicle in nontraffic accident
View all 36 codes in the V45 family